Case study 7: Robotic-Assisted Laparoscopic Surgery
A 72-year-old man with biopsy-proven carcinoma of the prostate had a prostate-specific antigen (PSA) of 22 ng per mL but negative pelvic computed tomography (CT) and bone scans. Patient presents for a laparoscopic robotic prostatectomy. (Pt will be in lithotomy position). He weighs 120 kg and baseline BP 150/90. Despite hypertension, a 50 pack-year smoking history, and recent surgery for retinal detachments, he was vigorous and active. He chose to be treated surgically. Medications include: Lisinopril and continues to smoke daily.
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- Description of the surgical case
- What is the incidence of carcinoma of the prostate?
- How is prostate cancer diagnosed?
- How is prostate cancer treated?
- Define laparoscopy.
- Describe the development of robotic-assisted laparoscopy.
- What are the advantages and disadvantages of laparoscopy?
- What are the differences in pulmonary function after laparoscopic cholecystectomy compared with open cholecystectomy?
- What are the contraindications to laparoscopic surgery? Is pregnancy a contraindication to laparoscopic surgery?
- Anesthetic implications for planned procedure (BULLETED format – prioritize) (Use as many bullets as needed) Please use Barash, Nagelhout, Miller textbook for anesthetic implications and Jaffee textbook for surgical implications.
- Description of surgery to be performed (BRIEF synopsis)